|Rank|Nation|Gold|Silver|Bronze|Total|
|---|---|---|---|---|---|
|1|United States (USA)|25|16|7|48|
|2|Canada (CAN)|5|4|7|16|
|3|Jamaica (JAM)|4|3|4|11|
|4|Cuba (CUB)|3|8|4|15|
|5|Mexico (MEX)|0|3|3|6|
|6|Brazil (BRA)|0|2|1|3|
|7|Puerto Rico (PUR)|0|1|1|2|
|8|Colombia (COL)|0|0|3|3|
|9|Peru (PER)|0|0|2|2|
|9|Trinidad and Tobago (TRI)|0|0|2|2|
|11|Chile (CHI)|0|0|1|1|
|11|Uruguay (URU)|0|0|1|1|
|11|Venezuela (VEN)|0|0|1|1|

Question: how many countries have at least 10 total medals?
Answer: 4